Abstract
AIMS: To compare the clinical outcomes of transurethral bipolar plasma enucleation (TBPE) and transurethral resection of the prostate (TURP) in patients with benign prostatic hyperplasia (BPH) complicated by prostatic stones. METHODS: This retrospective study included 150 patients divided into TBPE (n = 74) and TURP (n = 76) groups. Perioperative data, urodynamic parameters, symptom scores, complications, and sexual function were evaluated up to 6 months postoperatively. RESULTS: TBPE was associated with shorter catheterization and hospital stay, greater improvements in maximum urinary flow rate, post-void residual volume, and International Prostate Symptom Score, fewer complications, less intraoperative bleeding, and better postoperative sexual function (all P < 0.001). Multivariate analysis confirmed TBPE as an independent predictor of favorable outcomes (OR = 12.074, 95% CI: 6.513-22.386, P < 0.001). CONCLUSION: TBPE demonstrates superior clinical effectiveness and safety over TURP for managing BPH with prostatic stones.